Excessive or unregulated stress has an unfavourable effect on the sexual health of an individual and can affect desire excitement and orgasm intensity. Constant worrying decreased interest in pleasurable activities and sense of hopelessness associated with this may cause a decrease in libido. Biologically it may cause the dysregulation of Neuroendocrine and Neurotransmitter [Dopamine Norepinephrine Serotonin] Systems. It can also lower frustration tolerance leading to interpersonal discord said Dr Kedar Tilwe Psychiatrist Sexologist and Geriatric psychiatrist Hiranandani Hospital Vashi. Precipitation of major psychiatric illness such as depression and anxiety disorders could also occur. Stress has a detrimental effect on the quality of the sperm